| NPI | 1760292353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 46-1305562) |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-08-05 |